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The needs and concerns of lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) patients with cancer remain poorly understood. This is important as LGBTQ+ patients have an elevated risk of developing certain cancers and have poorer oncologic outcomes compared to non-LGBTQ+ patients. The lack of research may be linked to the complexity of studying the needs and concerns of this patient population. This review aimed to describe the evidence that sought to identify the needs and concerns of LGBTQ+ cancer patients. Studies were extracted using keywords such as "LGBTQ" and "Oncology." Patient participants were excluded if they did not identify as LGBTQ+ and if they did not have cancer or were not cancer survivors. Healthcare professionals were excluded if they were not oncology specific. A total of 22 studies met our inclusion criteria. LGBTQ+ cancer patients expressed concerns surrounding heteronormative assumptions made by healthcare professionals, a lack of LGBTQ±specific cancer support groups, and psychosexual concerns such as erectile dysfunction following cancer treatment. Oncology healthcare professionals lacked the knowledge and education that are required to manage this patient cohort. Further research is required to investigate the needs and concerns of LGBTQ+ cancer patients specifically in the radiation oncology setting. [ABSTRACT FROM AUTHOR]

LGBTQA+ university students have unique mental health needs and high rates of mental distress compared to their cisgender heterosexual peers; however, it is likely that many LGBTQA+ individuals remain untreated or receive inappropriate or insensitive care. The aim of this study was to explore the experiences and preferences in mental health care of LGBTQA+ university students in Aotearoa New Zealand. Twenty-eight young adults participated across 12 focus groups or interviews in which they were asked about their experiences and preferences. We used thematic analysis to identify patterns of meaning in the data. Researchers developed three themes of I can do this on my own, but others should seek help; you have to be lucky to access mental health care; and 'therapists just need to be a bit more like up with the programme'. The results of this study mirror those found in more general studies of LGBTQA+ mental healthcare experiences, however, also adds to considerations for university campus healthcare services. The findings of this study should be considered by all mental health providers working with LGBTQA+ young adult university students. [ABSTRACT FROM AUTHOR]

Building on previous research demonstrating that demographic growth of racial minorities increases realistic threat and prejudice among majority group members, we examined whether demographic increases of groups associated with symbolic threat (lesbian, gay, bisexual, and transgender [LGBT] and nonreligious groups) increased realistic threat, symbolic threat, and/or prejudice. In a single-paper meta-analysis across four studies, participants who read that LGBT groups were becoming more prevalent in the United States exhibited heightened perceptions of realistic threat and (especially) symbolic threat from these groups, which in turn predicted anti-LGBT prejudice. Two similar studies examining the growth of nonreligious groups demonstrated weaker effects. Implications for America's growing diversity and future directions for studying these effects are discussed. [ABSTRACT FROM AUTHOR]

This article discusses barriers to the citizen practices of Russian lesbian, gay, bisexual and transgender activists in the memory politics of Russian sexual citizenship. Based on memories of activism, as told in interviews with Russian lesbian, gay, bisexual and transgender activists, we focus on how these memories play a role in their national and transnational struggles for sexual rights and recognition, and how intersectional inequalities may create barriers to their queer and memory space-making practices. The interviews were conducted in 2021 (before the war between Russia and Ukraine, which started in 2022) and focus on the period between 2010 and 2020. Our findings highlight how intersectional inequalities of power influence Russian sexual citizenship and queer (memory) space-making, both at home and abroad. Theoretically, the results reveal the need to situate Russian lesbian, gay, bisexual and transgender activism in time, place and space in research on narratives of progress and social change in studies of queer global politics and transnational solidarities. [ABSTRACT FROM AUTHOR]

In line with global population aging, the number of lesbian, gay, bisexual, and transgender (LGBT+) older adults is expected to continue to increase. Compared to their heterosexual peers, LGBT+ older adults have poorer physical and psychological health status, experience less social support, and face more barriers when accessing healthcare services, which may lead to higher health disparities and a lower quality of life within LGBT+ older populations. Healthcare providers have been shown to be inadequately prepared to address the unique healthcare needs and challenges of LGBT+ older adults, often leaving these individuals forced to receive care that does not meet their health needs and expectations. Based on the Declaration on Universal Health Coverage proposed by the United Nations and the World Health Organization, medical care and long-term care facilities must provide to healthcare providers training courses in culturally competent care and foster LGBT-friendly care environments to achieve health equity and universal health coverage for LGBT+ populations. [ABSTRACT FROM AUTHOR]

Lesbian, gay, bisexual, transgender, queer, and other sexually and gender diverse (LGBTQ+) communities experience higher rates of food insecurity than their heterosexual and/or cisgender peers. LGBTQ+ people also face unique barriers to accessing healthy and nutritious food. This qualitative study aimed to examine the experiences of LGBTQ+ individuals in Nova Scotia who face food insecurity, focusing on their interactions with food support services such as food banks, meal programs, and shelters. Semi-structured interviews were conducted with 11 self-identifying LGBTQ+ people and analyzed using Foucauldian discourse analysis. Two discursive constructions are reported. The first is discourses of safety and dignity, highlighting wariness toward religious institutions, apprehensions about data collection by food banks, and a perceived lack of staff and volunteer knowledge regarding LGBTQ+ individuals. The second discursive construction envisions queer futures by examining past experiences to inform innovative operational strategies for food support services. The insights gained are intended to guide the development of policies and practices that enhance accessibility, safety, and structural competence in these support services. Key recommendations are provided to transform food support services to more inclusive to LGBTQ+ people. [ABSTRACT FROM AUTHOR]

Introduction: Health disparities experienced by lesbian, gay, bisexual, and transgender (LGBT) individuals have been partially attributed to healthcare professionals' lack of cultural competence in addressing their specific needs. This study aimed to assess the differences in competencies and preparedness among health professionals from Poland and Spain when working with LGBT patients. Methodology: Data were collected between June and August 2024 through a cross-sectional survey involving 673 health professionals (Mage = 33.54, SD = 9.74; 61.5% female), including 273 participants from Spain and 400 from Poland. Participants completed a self-administered survey, which included sociodemographic questions and the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS). Multivariate linear regression was used to analyze predictors of clinical preparedness, attitudes, and knowledge regarding LGBT care. Clinical trial number: not applicable. Results: Spanish health professionals showed higher total LGBT-DOCSS scores compared to Polish participants (B = 0.503, p < 0.001). Gender was a significant predictor, with men scoring higher in clinical preparedness (B = 0.771, p = 0.002), while women scored higher in attitudes (B = -0.457, p < 0.001). In Poland, age was positively correlated with clinical preparedness (B = 0.034, p = 0.022), and physicians scored significantly higher in overall competency compared to nurses/midwives (B = 0.621, p = 0.005). Participation in LGBT-related training was associated with higher clinical preparedness in both countries, with those attending training 3 or more times scoring higher than those who never attended (B = 1.659, p < 0.001). Conclusion: The study revealed significant differences in LGBT competency between Polish and Spanish health professionals. Factors such as gender, age, profession, and participation in LGBT-related training were associated with these competencies. Results suggest that a more tailored approach in professional education and training may be necessary to ensure all health workers possess adequate skills and attitudes toward LGBT care. [ABSTRACT FROM AUTHOR]

Individuals with sexual and gender minority (SGM) identities often have complicated relationships with religion, and there is often a degree of perceived conflict between the religious and SGM identities. This systematic review identifies and synthesises evidence from studies that have explored various identity management strategies that have been adopted to mitigate this conflict. Searches were conducted on 29 March 2024 in PsycINFO, PsycARTICLES, PsycEXTRA, CINAHL Complete, LGBTQ+ Source, and Scopus for peer-reviewed articles, grey literature, and dissertations. Included studies were published in English, had a quantitative study design, and reported on the identity management strategies of religious SGMs. The search yielded 26 cross-sectional studies (n = 15,622), with five management strategies being identified; identity conflict (n = 11), rejecting religion (n = 7), rejecting sexuality (n = 3), compartmentalisation (n = 1), and identity integration (n = 17). Importantly, identity integration and rejecting religion were consistently associated with psychosocial benefits, with identity conflict, rejecting sexuality, and compartmentalisation being a risk factor for poorer health. The factors most frequently reported as facilitating protective identity management strategies was to have social support from religious groups. This review found that reconciliation of religious and SGM identities is not only possible, but relatively frequent (and has protective benefits). [ABSTRACT FROM AUTHOR]

The purpose of this study was to explore the perceptions toward gender and sexual identities in the Portuguese armed and police forces, emphasizing on mental health implications. A qualitative research methodology was followed, using an electronic inquiry answered by 64 participants who are members of the Portuguese armed or police forces. Data were examined using thematic analysis, and the recurrent themes identified were the following: general characteristics of the military/police environment and culture, sexist attitudes and behaviors, positive attitudes and behaviors related to sexuality, homophobic/heterosexist attitudes and behaviors, influence of military and police culture on the expression of sexuality and coping of sexual minorities, negative impact of military and police culture on the mental health of gender and sexual minorities, and personal opinion regarding how sexual and gender diversity should be addressed in the armed and police forces. Analysis of these themes provides insight into the perceptions and experiences of our participants and suggests that the impact of stigma and discrimination toward gender and sexual minorities in this context was relevant for the individuals within this sample. [ABSTRACT FROM AUTHOR]

Sexual and gender minority (SGM) adults face unique challenges in accessing smoking cessation care due to stigma tied to their identities and smoking. While cessation apps show promise in the general population, their efficacy for SGM adults is unclear. This study utilized data from a randomized trial to compare two cessation apps, iCanQuit (Acceptance and Commitment Therapy-based) and QuitGuide (US Clinical Practice Guidelines-based) among 403 SGM adults. The primary outcome was self-reported complete-case 30-day abstinence from cigarette smoking at 12 months. Mediation analyses explored whether interventions operated through acceptance of cues to smoke and app engagement. At 12 months, quit rates did not differ between arms (26% iCanQuit vs. 22% QuitGuide, OR = 1.22; 95% CI: 0.74 to 2.00, p =.43). iCanQuit positively impacted cessation via acceptance of cues to smoke (indirect effect = 0.23; 95% CI: 0.06 to 0.50, p <.001) and demonstrated higher engagement (no. logins, 28.4 vs. 12.1; p <.001) and satisfaction (91% vs. 75%, OR = 4.18; 95% CI: 2.12 to 8.25, p <.001) than QuitGuide. Although quit rates did not differ between arms, acceptance of cues to smoke seemed to play a crucial role in helping SGM adults quit smoking. Future interventions should consider promoting acceptance of cues to smoke in this population. [ABSTRACT FROM AUTHOR]

Sexual and gender minoritized (SGM) individuals in high-stigma areas may use cannabis to cope with unmet healthcare needs and elevated stress. Adults in Oklahoma (Mage = 43.9[SD = 16.8], 54.5% female, 71.4% non-Hispanic White) completed a cross-sectional survey (August-September 2022). Logistic regression examined the association of SGM identity (SGM or non-SGM) with past-year unmet healthcare need (yes/no). Logistic and linear regressions also examined main and interactive effects of SGM identity and unmet healthcare needs on past-month medical cannabis use and number of relaxation/tension-reduction reasons for cannabis use endorsed. Analyses were unadjusted and adjusted for sociodemographic and healthcare characteristics. In adjusted analyses, SGM (vs. non-SGM) adults were more likely to report unmet healthcare needs (aOR = 2.24, 95% CI[1.47, 3.42], p <.001) and past-month medical cannabis use (aOR = 2.15 [1.07, 4.34], p =.033). In unadjusted analyses, SGM (versus non-SGM) adults and those with unmet healthcare needs (versus without) endorsed more relaxation/tension reduction reasons for cannabis use in separate main effects (ps <.029), and adults with unmet healthcare needs (vs. without) were more likely to report past-month medical cannabis use (OR = 2.31 [1.86, 2.88]). SGM identity X unmet healthcare need interactions did not emerge (ps >.05). SGM individuals in high-stigma environments may use cannabis to compensate for insufficient healthcare. [ABSTRACT FROM AUTHOR]

This article explores how a public written response to anti-LGBT+ legislation in Ghana also functioned as a religious educational intervention to shape future visions of tolerant pluralism in Ghanaian society. Navigating the intersection of politics and religion, the Interfaith Diversity Network of West Africa (IDNOWA) lodged a religious objection to the 'Promotion of Proper Human Sexual Rights and Ghanaian Family Values Bill, 2021', which criminalises non-heteronormative sexualities. The paper discusses how IDNOWA's approach reflects an African vision of pluralism which anchors itself in Ghana's religious and cultural traditions, and in pluralist models from Africa and beyond. In the spirit of action science, it calls for RE that highlights internal diversity within religious communities and that lifts up pluralist 'heroes' in the classroom and broader society. [ABSTRACT FROM AUTHOR]

Black sexual minority men (BSMM) remain disproportionately affected by HIV, yet Pre-exposure prophylaxis (PrEP) uptake in this population remains relatively low. Informed by minority stress theory, PrEP stigma may manifest in and exacerbate societal marginalization based on sexuality and race. We used an exploratory sequential mixed-methods approach to determine if PrEP-specific stigma was associated with reduced PrEP uptake among BSMM, and qualitatively explored how PrEP use is stigmatized among BSMM. We analyzed cross-sectional data from a pilot sample of BSMM (n = 151) collected in late 2020 in the United States, testing for associations between PrEP stigma and PrEP use using modified Poisson regression. Subsequently, we selected participants (n = 23) from this sample for qualitative interviews starting in 2022. Responses to questions related to PrEP stigma were analyzed using thematic analysis. PrEP stigma was associated less than half the PrEP use (aPR = 0.43, 95% CI = 0.24, 0.75) among BSMM after adjustment. Qualitatively, we identified three major themes in how PrEP use is stigmatized among BSMM: PrEP-specific sexual stigma, intersections between PrEP and HIV stigma, and PrEP misinformation and disinformation. Aligned with minority stress theory, each theme was based in part in stigma related to sexuality or race. We found strong relationships between PrEP stigma and PrEP use independent of several sociobehavioral factors. Each of our themes were based in part in minority stressors, and underscore the importance of culturally competent PrEP promotion efforts towards BSMM. Addressing stigma is a core component of health equity efforts towards ending the HIV epidemic. [ABSTRACT FROM AUTHOR]

Sexual and gender minorities (SGMs) experience critical barriers to health care access and have unique health care needs that are often overlooked. Given the rise in individuals identifying as lesbian, gay, bisexual, transgender, and queer, colorectal surgeons are likely to care for increasing numbers of such individuals. Here, we discuss key barriers to health care access and research among SGM populations and outline approaches to address these barriers in clinical practice. We also highlight two specific topics relevant to SGM populations that colorectal surgeons should be familiar with: current approaches to anal cancer screening among men who have sex with men, and transgender individuals, as well as the management of recto-neovaginal fistula in transfeminine individuals. [ABSTRACT FROM AUTHOR]

O artigo tem como objetivo analisar a representação da comunidade LGBT na primeira e na quarta minisséries do universo Crônicas de San Francisco, ambas baseadas nos escritos do autor Armistead Maupin e lançadas, respectivamente, em 1993 e 2019. O sujeito de ambos os microuniversos aqui estudados é Mary Ann Singleton, uma jovem branca e hétero, de Cleveland, que lida com uma São Francisco repleta de pessoas LGBTs e feministas, todas num espectro progressista de liberdade dos corpos. Também é comum nas narrativas a presença de cenas de choque cultural entre protagonista e coadjuvantes. Para realizar esta análise foi utilizado o método de leitura crítica dos textos midiáticos proposto por Kellner tendo como escopo teórico os Estudos Culturais, os Estudos Queer e os Estudos de Gênero. A análise do universo narrativo Crônicas de San Francisco nos possibilitou compreender a mudança representacional que aconteceu num intervalo de quase 25 anos. A partir desta análise, constatou-se que, se na primeira minissérie retratar homens gays brancos e uma personagem central trans parecia ser suficientemente disruptivo, nos anos 2010, para evocar diversidade foi necessário não apenas multiplicar as identidades desviantes como também pensar em um quase infinito número de interseccionalidades para que se pudesse dizer que o programa é diverso – com pessoas com deficiência, casais interraciais, pessoas vivendo com HIV e pessoas de diferentes localidades, cores e corpos.

Penelitian ini bertujuan untuk menganalisis dinamika penerimaan komunitas LGBT di Indonesia dalam perbandingan dengan model inklusivitas di beberapa negara Eropa, seperti Swedia dan Jerman. Menggunakan pendekatan teori konstruktivisme dan teori hak asasi manusia (HAM), penelitian ini mengeksplorasi bagaimana norma budaya, nilai-nilai agama, dan konstruksi sosial mempengaruhi persepsi masyarakat dan kebijakan negara terhadap hak-hak LGBT. Teori konstruktivisme digunakan untuk memahami bagaimana identitas budaya dan norma-norma sosial di Indonesia, yang kuat dipengaruhi oleh nilai-nilai keagamaan seperti Islam, membentuk sikap masyarakat dan kebijakan yang cenderung konservatif terhadap LGBT. Sebaliknya, negara-negara Eropa, yang lebih sekuler, mencerminkan konstruksi sosial yang berbeda, dengan norma-norma yang lebih terbuka dan mendukung inklusivitas. Teori HAM berfungsi sebagai kerangka untuk mengevaluasi perbedaan pendekatan kebijakan antara Indonesia dan Eropa terhadap hak-hak LGBT, terutama dalam penerapan prinsip-prinsip kesetaraan dan nondiskriminasi. Di Indonesia, terdapat ketegangan antara prinsip-prinsip HAM internasional dan norma-norma budaya lokal yang mengarah pada resistensi terhadap pengakuan hak-hak LGBT. Sementara itu, negara-negara Eropa cenderung mengadopsi standar HAM sebagai dasar kebijakan inklusif yang memberikan perlindungan hukum lebih kuat bagi komunitas LGBT. Penelitian ini menggunakan metode kualitatif dengan analisis data sekunder, seperti studi literatur, kebijakan pemerintah, laporan organisasi internasional, dan artikel jurnal ilmiah terkait. Hasil penelitian menunjukkan bahwa konstruksi sosial dan identitas budaya di Indonesia berperan penting dalam membentuk kebijakan negara yang cenderung mempertahankan nilai-nilai tradisional, sedangkan model inklusivitas di negara-negara Eropa didorong oleh pengakuan terhadap hak-hak universal dan prinsip kesetaraan. Penelitian ini menekankan pentingnya pemahaman terhadap faktor-faktor budaya dan sosial dalam kebijakan publik terkait hak-hak LGBT, serta memberikan rekomendasi untuk membangun dialog yang lebih konstruktif antara norma lokal dan prinsip-prinsip HAM internasional dalam konteks Indonesia.

Esta investigación analiza las prácticas comunicativas digitales que los jóvenes LGBT+ desarrollan para enfrentar los discursos de odio en Internet. Para ello se construye un marco teórico sustentado en la perspectiva comunicacional que problematiza la relación sujeto-tecnología. La metodología cualitativa y con alcance descriptivo se sintetiza en el método de la sistematización de la experiencia; mediante entrevistas semiestructuradas a 15 jóvenes mexicanos disidentes a la cisheteronorma se analizan las estrategias que emplean ante un discurso de odio en Internet. Los resultados apuntan que los jóvenes LGBT+ recalibran el impacto simbólico de los discursos de odio en Internet por la distancia subjetiva-tecnológica entre ellos y los usuarios anónimos que los promueven. Así, los jóvenes LGBT+ aprovechan las lógicas de interacción de las plataformas sociodigitales para incrementar su control sobre su entorno digital y los grupos en los que participan con el fin de volverlos y mantenerlos como espacios seguros.

• LGBTQA+ people face challenges in accessing and engaging with psychosis services. • Experiencing intersecting sources of stigma can lead to unique barriers to care. • Gender-affirming care is a crucial facet of mental health support for trans people. • LGBTQA+/psychosis competencies must be improved in psychosis/LGBTQA+ services. LGBTQA+ individuals are at increased risk of experiencing psychosis and face barriers in accessing appropriate and timely mental health support. This scoping review maps the existing literature to identify barriers and facilitators to access and engagement to care for LGBTQA+ people across the psychosis spectrum. Select databases and grey literature were searched up to May 2024. Following screening according to pre-determined eligibility criteria, 37 papers were included in this review. A total of 89 barriers and 63 facilitators to mental health care were identified. Using inductive thematic analysis, five themes were developed to synthesise these items: (1) service-related factors, (2) stigma, (3) social networks, (4) personal factors, and (5) psychosis-related factors. These findings illustrate the complex interplay of factors affecting pathways to care in this population and highlight the significance of intersectionality. Improving LGBTQA+ and psychosis competencies in the public and in services that support these populations may enable earlier detection of psychosis and provision of effective care. Scoping review registration: This protocol is registered in Open Science Framework Registries (https://doi.org/10.17605/OSF.IO/AT6FC). [ABSTRACT FROM AUTHOR]

In line with global population aging, the number of lesbian, gay, bisexual, and transgender (LGBT+) older adults is expected to continue to increase. Compared to their heterosexual peers, LGBT+ older adults have poorer physical and psychological health status, experience less social support, and face more barriers when accessing healthcare services, which may lead to higher health disparities and a lower quality of life within LGBT+ older populations. Healthcare providers have been shown to be inadequately prepared to address the unique healthcare needs and challenges of LGBT+ older adults, often leaving these individuals forced to receive care that does not meet their health needs and expectations. Based on the Declaration on Universal Health Coverage proposed by the United Nations and the World Health Organization, medical care and long-term care facilities must provide to healthcare providers training courses in culturally competent care and foster LGBT-friendly care environments to achieve health equity and universal health coverage for LGBT+ populations.

Aim: To identify, synthesize, and interpret the scientific literature on the experience, perspectives, and feelings of transgender people during hospitalization., Design: A qualitative metasynthesis., Data Sources: PubMed, CINAHL and PSYCHINFO were consulted in March 2024., Methods: A literature review was conducted following Sandelowski and Barroso's four-step metasynthesis methodology. The article selection process was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Studies were selected based on the objectives of the review, pre-established criteria and quality appraisal. A thematic analysis was conducted after extracting relevant quotations and a metasynthesis table was created to compare quotations and analyse overarching themes., Results: Twenty-two studies were included after screening titles and abstracts, full texts, and references. Three themes were identified: 'Perception of self-identity'; 'Misgendering' and 'Lack of staff training and awareness'., Conclusion: Transgender people's healthcare experiences during hospitalization were mainly negative, delayed or uncomfortable. Misgendering and lack of awareness of transgender issues among healthcare workers generated anxiety and frustration. Key aspects of care for transgender people need to be included in all training programs for health professionals., Implications for the Profession And/or Patient Care: There is a need to increase education and awareness among healthcare professionals towards transgender people's needs during hospitalization ensure high quality care., Impact: This study addressed the negative experience, perspectives and feelings of transgender people during hospitalization. Misgendering and unawareness of transgender peoples' issues create anxiety and frustration among nurses. Elements to improve care for transgender people need to be integrated into all nursing curricula and training programs., Reporting Method: The authors adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and the Critical Appraisal Skills Programme (CASP)., Patient or Public Contribution: Since this was a metasynthesis, no patient or public contribution was required., (© 2024 John Wiley & Sons Ltd.)

Background and Aims: LGBTQIA2S + populations are believed to be at higher risk of problem gambling due to their elevated rates of mental disorders and substance abuse compared to heterosexual and cisgender populations. However, little is known about these populations regarding their gambling practices in the Canadian context., Methods: We conducted an online survey among Canadian residents 18 years or older who self-identify as sexually and gender-diverse (i.e., LGBTQIA2S + ) and have gambled at least once in the preceding year (N = 1,519). We used descriptive analysis to portray the sample's gambling habits and a logistic regression model to identify potential factors associated with moderate-to-high-risk gambling., Results: The prevalence of problematic gambling among our sample was 19.6%. This proportion did not vary according to sex or gender identity. Simultaneously, there was a negative relationship between age group and problematic gambling, and a positive relationship existed with gambling involvement. Logistic regression showed factors associated with higher odds of problematic gambling, including gambling frequency, gambling on slot machines, video lottery machines or poker, presenting other behavioral addictions, and poor mental health. Increasing age, identifying with White ethnicity, higher household income, and identifying as pansexual or queer were inversely correlated factors., Discussion and Conclusions: Sociodemographic factors associated with problematic gambling likely have complex underlying relationships that merit further research. Gambling formats with faster reward responses presented the highest prevalence of problematic gambling. Further analysis by identity subgroups, and research on their experiences with gambling harm, health and social services, and discrimination could provide insight into the needs and challenges of this population., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Magaly Brodeur reports financial support was provided by Canadian Institutes of Health Research. Dr. Jutras-Aswad has held research grants and contracts in the areas of substance use, health, policy from public funding and government organizations (i.e., public-only sources) in the last five years. He has received study materials from Exka and Cardiol Therapeutics for publicly funded clinical trials examining the behavioral, cognitive, and biological effects of cannabinoids. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2025 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

The legal recognition of the gender status of transgender people in Europe (and indeed worldwide) is undoubtedly a complex and multifaceted issue, which has prompted academics and legal practitioners to raise numerous scientific questions and seek answers thereto. The gravity of this issue is heightened by the fact that the daily functioning of a transgender person in society as a person of registered (assigned at birth) sex that is incongruent with their self-perception exposes them to constant and conspicuous distress (the so-called gender dysphoria), often manifested in various forms of discrimination. The role of every European state should be to eliminate, or at least minimize, such distress and the risk of discrimination. One of the ways to attain these specified objectives may very well be the eponymous procedure of legal gender recognition for transgender people. This article was conceived with the perspective of human rights in mind. Consequently, its primary assertion is that the aim of every proceeding (be it judicial or administrative) concerning gender recognition is the realization of comprehensive protection of rights and freedoms for a transgender person. An additional aim of the present article is to attempt to facilitate the task of judges who adjudicate cases involving gender recognition, officials who process applications for changes in civil status records, and attorneys who represent transgender people in matters pertaining to changing a person's name and gender marker on identity documents., (© 2024 John Wiley & Sons Ltd.)